Shoulder Dislocation Treatment

Shoulder is the most common joint to dislocate and is a common injury in sports persons. This is commonly seen in athletes involved in contact sports. Shoulder dislocation can also be seen in non-athletes following trauma such as fall or after a seizure episode. Dislocation of shoulder joint is often associated with injury to joint capsule, soft tissue as well as fracture. When there is injury to the lip of the cup of shoulder joint, is called Bankart lesion or tear. Bankart lesion/tear may or may not be associated with fracture of the lip.

A Bankart lesion not only is painful but also makes the shoulder joint unstable, weak, painful, and prone to recurrent dislocation. All recurrent Shoulder dislocation Treatment especially in athletes must undergo proper clinical examination by specialist orthopaedic surgeons. An unstable shoulder needs Magnetic Resonance Imaging (MRI). If Bankart lesion is identified then arthroscopic repair of lesion by an experienced sports injury specialist should be considered.

Shoulder-dislocation

After arthroscopic repair of the Bankart lesion, a carefully planned rehabilitation programme is started. A lot of athletes are not able to achieve pre injury status of their performance largely due to overzealous and early return to the arena.

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FAQs

Can a dislocated shoulder heal itself?

Shoulder dislocation if reduced early will heal by itself if proper rest is given for 2-3 weeks. Recurrent dislocation itself suggests either improper healing of soft tissues of the shoulder or other deficiency.

Can Bankart lesion heal without surgery?

Just like any injury, the body tries to heal the Bankart lesion also. If there is no bony injury associated with Bankart lesion, proper rest for sufficient duration may be sufficient.

Do Bankart lesions need surgery?

When the labrum is torn from the shoulder joint socket, surgery is necessary to reattach it. It is necessary for proper healing and optimal functional outcome.

What causes Bankart lesion?

Repeated injury to the shoulder causes a chronic tear of the lip of the shoulder joint socket. It may or may not be associated with the bony injury.

How long is recovery from a torn labrum?

Recovery in a Bankart lesion depends upon multiple factors such as the location of the tear, size of Bankart lesion, the severity of the injury, delay in repair, and quality of the surgical repair. It takes almost 4-6 weeks for healing and another 4-6 weeks shoulder to gain sufficient strength.

When should I start physiotherapy after shoulder surgery?

Physiotherapy is started a few days after surgery. Initially passive & assisted physiotherapy is done for 4-6 weeks, followed by another 4-6 weeks of active physiotherapy.

What to expect after arthroscopic Bankart repair?

The arm is kept in a sling for about 4-6 weeks, but physiotherapy is started usually a couple of days after arthroscopic Bankart repair.

Is arthroscopic shoulder surgery painful?

Arthroscopic surgery of the shoulder has always been painful. With modern-day pain control methods, patients nowadays rarely experience severe pain after shoulder arthroscopy.

When can I drive after shoulder arthroscopy?

Car driving should be avoided for at least 2-3 months after surgery. Early resumption of car driving causes more than the recommended movement of the arm. This will lead to failure of surgery and increased chances of recurrence of pain, instability, and dislocation as well.

When can I shower after arthroscopic shoulder surgery?

Shower can be taken one or two days after arthroscopic surgery if the stitches are covered with a waterproof dressing. It is preferred to take the help of an assistant for a shower. After the removal of stitches after about 2 weeks, one can take bath without covering the operated shoulder.

What one cannot do after shoulder surgery?

After shoulder surgery, it is advised not to remove the arm from the sling and should not push, pull reach out and lift anything. One should definitely not take a hand behind after shoulder surgery.

Can the shoulder dislocate again after surgery?

Dislocation of the shoulder after surgery depends on the primary cause of dislocation. In the case of athletes where extreme injury is the cause, re-dislocation is rare after proper healing. In cases of patients with ligamentous laxity, the possibility of re-dislocation is high.